{% load comp_filters %}
    <form id='form-mdyservice' action="">
      <div id="age">
        <label for ="aveage">Average Age:</label>
        {{"aveage"|select|style:"width:152px;margin-top:5px;"|addfield:"16-20"|addfield:"20-30"|addfield:"30-40"|render|safe}}
      </div>
      <div id="type">
        <label for='type'>Service Type:</label>
        {{"type"|select|style:"width:152px;margin-top:5px;"|addfield:"Brothel"|addfield:"Escort"|render|safe}}
      </div>
      <div id="phone">
        <label for='phone'>Phone:</label>
          <span class='input-fine'>
          &#9746
          </span>
        <input type='textfield' name='phone' value='{{REQUEST.phone}}'/>
      </div>
      <div id='description'>
        <label for="description">Description:</label>
        <span class='input-fine'>
        &#9746
        </span>
        <textarea name='description' value='{{REQUEST.phone}}'></textarea>
      </div>
      <div id='days'>
        <a>Working Days:</a></br>
          <input type = checkbox name='Sun' value = 'Sun'>Sun.</input>
          <input type = checkbox name='Sat' value = 'Sat'>Sat.</input>
          <input type = checkbox name='Tue' value = 'Tue'>Tue.</input>
          <input type = checkbox name='Wed' value = 'Wed'>Wed.</input>
          <input type = checkbox name='Thu' value = 'Thu'>Thu.</input>
          <input type = checkbox name='Fri' value = 'Fri'>Fri.</input>
          <input type = checkbox name='Mon' value = 'Mon'>Mon.</input>
      </div>
    </form>
